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Individual

MATTHEW HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(855) 568-2494

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
07/07/2023
Last updated
08/24/2025
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